DOUGLAS C DEDELOW (DO) – Obstetrics & Gynecology Physician, NPI 1861492993
Obstetrics & Gynecology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
962 OBSTETRICS/GYNECOLOGY in IN
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Provider Addresses for DOUGLAS C DEDELOW (DO)
9660, Wicker Avenue, Saint John, St. John, Lake County, Indiana, 46373, United States
ST JOHN, IN 463739487
Phone: (219) 226-2203
Fax: (219) 226-2202
Type: Mailing
1400, South Lake Park Avenue, Hobart, Lake County, Indiana, 46342, United States
STE 205
HOBART, IN 463426790
Phone: (219) 942-8620
Fax: (219) 942-6356
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 45 Open Payments records for all available years, with a total value of $981.
Total Amount is formed as General ($981) + Research ($0) + Ownership ($0) = $981.
Last reported payment date: 2024-12-09 • Largest payer in this snapshot: COLOPLAST CORP ($123).
Total Amount
$981
General + Research + Ownership
Payments
45
Total payment records
General Amount
$981
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-09
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| COLOPLAST CORP | $123 |
| Agile Therapeutics, Inc. | $114 |
| Bayer Healthcare Pharmaceuticals Inc. | $112 |
| Exeltis, USA Inc. | $102 |
| Sumitomo Pharma America, Inc. | $99 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2008-05-29
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20080529000048 | I | Obstetrics/Gynecology | IN | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 41 | 34 | $0 |
| G0101 | Cervical or vaginal cancer screening; pelvic and clinical breast examination | 26 | 26 | $0 |
| Q0091 | Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory | 25 | 25 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 19 | 19 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 15 | 15 | $0 |
Insurance plans in this area (ZIP 46373)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Orthopedic Surgery | IN | |
| Nurse Practitioner | IN | |
| O P T O M E T R Y | IN | |
| Orthopedic Surgery | IL | |
| U R O L O G Y | MI | |
| Orthopedic Surgery | IN | |
| Nurse Practitioner | IL | |
| Hospitalist, Internal Medicine | IN | |
| Nurse Practitioner | IN | |
| Orthopedic Surgery, Hand Surgery | WA |
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